HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toile�ng
behaviors. Which informa�on should the nurse provide to the parents?
A. A retraining program will need to be ini�ated when the child returns home.
B. Diapering will be provided since hospitaliza�on is stressful to preschoolers
C. A poty chair should be brought from home so he can maintain his toile�ng skills
D. Children usually resume their toile�ng behaviors when they leave the hospital - ansD. Children usually
resume their toile�ng behaviors when they leave the hospital
A 7-year old is admited to the hospital with persistent vomi�ng, and a nasogastric tube atached to low
intermitent suc�on is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Shi� intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - ansD. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
informa�on is most important for the nurse to provide the parents prior to discharge?
A. Instruc�ons about how much fluid the child should drink daily.
B. Signs of addic�on to opioid pain medica�ons
C. Informa�on about non-pharmaceu�cal pain relief measures
D. Referral for social services for the child and family - ansA. Instruc�ons about how much fluid the child
should drink daily
A client asks the nurse for informa�on about how to reduce risk factors for benign prosta�c hyperplasia
(BPH). Which informa�on should the nurse provide?
A. Consume a high protein diet
B. Increase physical ac�vity
,HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
C. Take vitamin supplements
D. Obtain a prostate-specific an�gen blood level test - ansB. Increase physical ac�vity
A client at 12 weeks gesta�on is admited to the antepartum unit with a diagnosis of hyperemesis
gravidarum. Which ac�on is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutri�onist
D. Ini�ate prescribed intravenous fluids - ansD. Ini�ate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescrip�on for aluminum
hydroxide is scheduled to begin at 0730. Which client medica�on should the nurse bring to the
healthcare provider's aten�on?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - ansB. Allopurinol
A client fell in the bathroom when le� unatended by the unlicensed assis�ve personnel (UAP). Which
informa�on should the nurse include in the client's health record?
A. The UAP le� the client to assist another client
B. The last �me client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the le� hip - ansD. The client fell sustaining a fracture to the le�
hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping only
three hours during the past 48 hours. Based on these findings, it is most important for the nurse to
review the laboratory value for which medica�on?
,HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A. Lorazepam
B. Fluoxe�ne
C. Divalproex
D. Olanzapine - ansC. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her breasts and
that her nipples some�mes leak a yellowish fluid. She has an appointment with her healthcare provider
in two weeks. What ac�on should the nurse take?
A. Tell the client to begin nipple s�mula�on to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secre�on can be assessed at the next visit
D. Recommend that the client start wearing a suppor�ve brassiere - ansC. Explain that this normal
secre�on can be assessed at the next visit
A client is admited with a diagnosis of urolithiasis. Which finding is most important for the nurse to
report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ansD. Hematuria that is beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse iden�fy as most
important in the plan of care?
A. Risk for ineffec�ve self-health management related to deficient knowledge
B. Ineffec�ve coping related to personal vulnerability
C. Risk for injury related to ver�go
D. Anxiety related to disrup�on of lifestyle - ansC. Risk for injury related to ver�go.
, HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse effects of the
medica�on, which serum laboratory value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - ansC. Platelet count
A client is recovering in the cri�cal care unit following a cardiac catheteriza�on. IV nitroglycerin and
heparin are infusing. The client is sedated but responds to verbal instruc�ons. A�er changing posi�ons,
the client complains of pain at the right groin inser�on site. What ac�on should the nurse implement?
A. Check femoral site for hematoma forma�on
B. S�mulate the client to take deep breaths
C. Evaluate the integrity of the IV inser�on site
D. Assess distal lower extremity capillary refill - ansB. S�mulate the client to take deep breaths
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary
embolism. Which informa�on in the client's history requires follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes me�ormin for type 2 diabetes mellitus - ansD. Takes me�ormin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches, headache, fever, and describes a
recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 tes�ng. Which ac�on is most
important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and ini�ate droplet precau�ons.
C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned that the child has regressed in his toile�ng
behaviors. Which informa�on should the nurse provide to the parents?
A. A retraining program will need to be ini�ated when the child returns home.
B. Diapering will be provided since hospitaliza�on is stressful to preschoolers
C. A poty chair should be brought from home so he can maintain his toile�ng skills
D. Children usually resume their toile�ng behaviors when they leave the hospital - ansD. Children usually
resume their toile�ng behaviors when they leave the hospital
A 7-year old is admited to the hospital with persistent vomi�ng, and a nasogastric tube atached to low
intermitent suc�on is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Shi� intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - ansD. Serum potassium of 3.0 mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
informa�on is most important for the nurse to provide the parents prior to discharge?
A. Instruc�ons about how much fluid the child should drink daily.
B. Signs of addic�on to opioid pain medica�ons
C. Informa�on about non-pharmaceu�cal pain relief measures
D. Referral for social services for the child and family - ansA. Instruc�ons about how much fluid the child
should drink daily
A client asks the nurse for informa�on about how to reduce risk factors for benign prosta�c hyperplasia
(BPH). Which informa�on should the nurse provide?
A. Consume a high protein diet
B. Increase physical ac�vity
,HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
C. Take vitamin supplements
D. Obtain a prostate-specific an�gen blood level test - ansB. Increase physical ac�vity
A client at 12 weeks gesta�on is admited to the antepartum unit with a diagnosis of hyperemesis
gravidarum. Which ac�on is most important for the nurse to implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutri�onist
D. Ini�ate prescribed intravenous fluids - ansD. Ini�ate prescribed intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new prescrip�on for aluminum
hydroxide is scheduled to begin at 0730. Which client medica�on should the nurse bring to the
healthcare provider's aten�on?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - ansB. Allopurinol
A client fell in the bathroom when le� unatended by the unlicensed assis�ve personnel (UAP). Which
informa�on should the nurse include in the client's health record?
A. The UAP le� the client to assist another client
B. The last �me client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the le� hip - ansD. The client fell sustaining a fracture to the le�
hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping only
three hours during the past 48 hours. Based on these findings, it is most important for the nurse to
review the laboratory value for which medica�on?
,HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A. Lorazepam
B. Fluoxe�ne
C. Divalproex
D. Olanzapine - ansC. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her breasts and
that her nipples some�mes leak a yellowish fluid. She has an appointment with her healthcare provider
in two weeks. What ac�on should the nurse take?
A. Tell the client to begin nipple s�mula�on to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secre�on can be assessed at the next visit
D. Recommend that the client start wearing a suppor�ve brassiere - ansC. Explain that this normal
secre�on can be assessed at the next visit
A client is admited with a diagnosis of urolithiasis. Which finding is most important for the nurse to
report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ansD. Hematuria that is beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse iden�fy as most
important in the plan of care?
A. Risk for ineffec�ve self-health management related to deficient knowledge
B. Ineffec�ve coping related to personal vulnerability
C. Risk for injury related to ver�go
D. Anxiety related to disrup�on of lifestyle - ansC. Risk for injury related to ver�go.
, HESI RN EXIT EXAM PRACTICE QUESTION AND
ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse effects of the
medica�on, which serum laboratory value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - ansC. Platelet count
A client is recovering in the cri�cal care unit following a cardiac catheteriza�on. IV nitroglycerin and
heparin are infusing. The client is sedated but responds to verbal instruc�ons. A�er changing posi�ons,
the client complains of pain at the right groin inser�on site. What ac�on should the nurse implement?
A. Check femoral site for hematoma forma�on
B. S�mulate the client to take deep breaths
C. Evaluate the integrity of the IV inser�on site
D. Assess distal lower extremity capillary refill - ansB. S�mulate the client to take deep breaths
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary
embolism. Which informa�on in the client's history requires follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes me�ormin for type 2 diabetes mellitus - ansD. Takes me�ormin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches, headache, fever, and describes a
recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 tes�ng. Which ac�on is most
important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and ini�ate droplet precau�ons.
C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus
